Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $15.85 / $18.20	Facility	26	$14.13	$15.85	$18.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $45.71 / $97.72	Professional		$30.90	$45.71	$97.72
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $21.38 / $37.15	Professional	26	$14.13	$21.38	$37.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $38.02 / $45.71	Professional		$18.62	$38.02	$45.71
Christus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $20.89 / $22.39	Professional	26	$20.89	$20.89	$22.39
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.37 / $25.12 / $36.31	Facility	26	$5.37	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $64.57 / $131.83	Professional		$38.90	$64.57	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $28.18 / $56.23	Professional	26	$18.62	$28.18	$56.23
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional	26	$331.13	$331.13	$331.13
Moda Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.45 / $19.95 / $29.51	Facility	26	$14.45	$19.95	$29.51
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $57.54 / $112.20	Professional		$33.88	$57.54	$112.20
Moda Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $26.92 / $48.98	Professional	26	$15.85	$26.92	$48.98
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $32.36 / $38.90	Professional		$18.62	$32.36	$38.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $165.96 / $190.55	Professional		$97.72	$165.96	$190.55
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $64.57 / $131.83	Professional		$38.90	$64.57	$131.83
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $26.30 / $53.70	Professional	26	$18.62	$26.30	$53.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $67.61 / $100.00	Professional		$44.67	$67.61	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $28.18 / $44.67	Professional	26	$19.95	$28.18	$44.67
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $47.86 / $57.54	Professional		$45.71	$47.86	$57.54
Wellpoint Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $22.39 / $26.92	Professional	26	$21.88	$22.39	$26.92

Texas rates for HCPCS 76516